Wednesday, September 7

A report in The Washington Post looked at death rates for middle-aged white women. It found women like Apgood are five times more likely to receive prescriptions for both anti-anxiety drugs and painkillers. "When we mix those two medications, a benzodiazepine and opioids, there's a huge risk for overdose" ...I think part of what's happening is that in earlier times if a mother was in chronic pain, say from a difficult childbirth, there was a large extended family and older children in her immediate family to help her look after the smaller children and do the housework and cooking. And she didn't have to hold down a job outside the home. Today many such women are forced to function as if they're well, and the small family unit, often isolated by distance from the larger family, doesn't provide them with enough help. So they turn to doctors who prescribe incredibly powerful medications, often in combination, and with no thought to how the medications interact.....September 7, 2016AOL NewsMURRAY, Utah (KSTU) -- Melanie Apgood, of Holladay, has two kids. Her youngest, Thomas, is 10 years old.

A decade after giving birth, she is still dealing with the impacts of what was a difficult pregnancy that had her hospitalized for three months.

"I was getting two Percocets every six hours as well as a shot of morphine every day," Apgood said.

Percocet and morphine are both opiate-based pain relievers, a class of drug that can be highly addictive.

Ten days after giving birth, her doctor took her off the medication. Though she didn't realize it at the time, she was addicted. Apgood contemplated suicide. She was depressed and questioned her own sanity.

Recognizing something was wrong, she went to her doctor.

"When I went to my primary care, he prescribed me Xanax," Apgood said.

Xanax is an anti-anxiety medication, part of the benzodiazepine class of drugs.

A report in The Washington Post looked at death rates for middle-aged white women. It found women, like Apgood, are five times more likely to receive prescriptions for both anti-anxiety drugs and painkillers.

"When we mix those two medications a benzodiazepine and opioids, there's a huge risk for overdose," said Angela Stander, the prescription drug overdose prevention coordinator for the Utah Department of Health.

The impacts are both more widespread and more profound than many people realize and they appear to have the biggest impact on middle-aged white women.

The report found a 400-percent jump in opioid overdose deaths among middle-aged white women from 1999 to 2014. It is contributing so much to that specific demographic, it's actually changing the overall death rates.

In Salt Lake County, the death rate over the same time period for the same demographic went up 9 percent. In Wayne County, the death rate jumped 65 percent for middle-aged white women.

"A lot of times these are, you know, prescribed with the best intentions and taken with the best intentions," Stander said.

The intention is to reduce pain, but the price is a higher rate of addiction and ultimately overdoses.

Last week the U.S. Surgeon General wrote a letter addressed to every doctor in America asking them to take a pledge to use greater care when prescribing opiate based medications. The care may need to focus specifically on a group, most would not stereotype as drug abusers, middle-aged white women.

"A Caucasian person like myself. A professional, somebody who has employment, we wouldn't expect them of being someone who is addicted to a drug," said Mary Jo McMiller, Director of Utah Support Advocates for Recovery Awareness.

The Utah Health Department says the statistics show after taking painkillers for just seven days a dependence can form. It happened to Melanie Apgood and it took two years before family intervened.

Clean for eight years and raising both of her sons as a single mom, Apgood still feels the impact of addiction.

"It really is an ongoing battle and I don't think it will ever, it won't ever go away," she said.

Apgood recently had surgery to repair a problem with her large intestine. Once again, painkillers were prescribed. Not taking any chances, she set up a safety plan.

A family member has the prescription bottle, giving her only a day's dose at a time. It is a small price to pay to avoid joining a larger statistic of women dying too soon.

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